UTMB FACULTY GROUP PRACTICE NPI 1629019823

NPI Information

  • NPI: 1629019823
  • Provider Name: UTMB FACULTY GROUP PRACTICE
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 4616 BROADWAY ST
    STE. F
    PEARLAND, TX
    ZIP 77581
  • Phone: (281) 485-3220

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NPI Details

UTMB FACULTY GROUP PRACTICE is an obstetrics gynecology in Pearland, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. UTMB FACULTY GROUP PRACTICE NPI is 1629019823. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4616 BROADWAY ST
STE. F
PEARLAND, TX
ZIP 77581-956
Phone: (281) 485-3220
Fax: (281) 485-3506

The provider's authorized official is Cynthia L. Smith .
The authorized official title is Director and has the following contact phone number (409) 772-2222.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 9/22/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryNo
22084N0400XPsychiatry & NeurologyNeurologyNo
32084P0800XPsychiatry & NeurologyPsychiatryNo
42085R0202XRadiologyDiagnostic RadiologyNo
5207W00000XOphthalmologyNo
6207Y00000XOtolaryngologyNo
7207ZP0101XPathologyAnatomic PathologyNo
8208000000XPediatricsNo
9207L00000XAnesthesiologyNo
10207N00000XDermatologyNo
11207P00000XEmergency MedicineNo
12207Q00000XFamily MedicineNo
13207R00000XInternal MedicineNo
142085R0001XRadiologyRadiation OncologyNo
15207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1137315104MEDICAIDTEXAS
20071CCMEDICARE ID-TYPE UNSPECIFIEDTEXASBRAZORIA CO MCR GRP NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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